CONTINGENT EMPLOYMENT AGREEMENT FOR
HOURLY FACULTY EMPLOYEES
University of Maryland, College Park
KFS:__________________________
Your contract appointment will begin on / / and is authorized until / / . At that
time, the agreement may be reviewed for renewal. Your title in this appointment is
_____________________________. You will be paid at a rate of $
per hour. If you are not
a U.S. citizen or a permanent resident, you must have a valid visa or Employment Authorization
card that permits employment during the contract period. You must provide your departmental
payroll representative with your choice from the List of Acceptable Documents from those listed
on the INS Form I-9 (the federal employment eligibility verification form). It is your
responsibility to ensure that these supporting documents are valid for the entire duration of the
employment term. Your duties in this position are described on the reverse of this form. The
conditions for employment for this appointment are as follows:
 This Employment Agreement shall serve as the formal contract specifying the terms and
conditions of your appointment. A copy of this agreement will be kept in your department.
 Your appointment is non-permanent and your appointment may be terminated at any time.
 Because of the nature of a Contract appointment, your work schedule may be variable. You
are not guaranteed to be scheduled to work.
 You must notify the University of dual/multiple employment with other institutions of the
University System of Maryland (USM) or another State Agency. This is required to
determine if you will be eligible to enroll in the State Employee and Retiree Health and
Welfare Program and receive a subsidy. Please sign the appropriate line:
1. As of today’s date I am not under dual/multiple employment.
Sign: ______________________________________
2. As of today’s date I am under dual/multiple employment with a USM Institution/State
Agency(ies).
Name of Institution/Agency(ies):_______________________________________
Sign: ______________________________________
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If the dual/multiple employment status changes after this contract is signed, you must
notify your supervisor immediately in order to maintain this contract as valid.
 You are not eligible to receive benefits, including, but not limited to, paid leave (annual, sick,
personal, and holiday), participation in the group health plan, nor in a retirement or pension
system.
Optional Statement if eligible for State provided 75% health insurance subsidy:
 You may choose to enroll in one of the state health insurance plans within sixty (60) days of
your employment date or during the next open enrollment period. You are eligible to receive
a 75% subsidy of the total cost of medical and prescription coverage paid by the
State/University. You will be responsible for paying the remaining 25% of the total cost of
medical and prescription coverage. If you choose to enroll in dental coverage, personal
accidental death and dismemberment insurance and/or group term life insurance, you will
pay the full (100%) cost of these premiums, plus the 25% cost of medical and prescription
coverage. Payroll deduction is not available for this benefit. You will need to pay the State
of Maryland directly, on a monthly basis, for your portion of the cost of the plans that you
choose. Once enrolled, you will receive payment coupons to pay the State of Maryland
directly by personal check or online. Instructions to pay online will be included with the
payment coupons.
Please indicate your election to accept or decline coverage at this time by initialing the
appropriate line below. The decision to decline coverage will not prevent you from enrolling
for the benefits noted above during the annual open enrollment period or in the event of a
“qualifying event” status change.
_______ I choose to enroll in the State Employee and Retiree Health and Welfare Benefits
Program and I understand that the State of Maryland will contribute 75% of the cost of the
medical and prescription coverage and I will be responsible for paying the remaining 25% of
the total cost.
_______ I understand that I also, independently, have the option to enroll in dental coverage,
personal accidental death and dismemberment insurance and/or group term life insurance of
which I will pay 100% of the costs of the premiums.
_______ I decline to enroll in the State Employee and Retiree Health and Welfare Benefits
Program understanding that I may choose to enroll during the annual open enrollment
periods or in the event of a “qualifying event” status change.
 A Cost of Living Adjustment (COLA) may be applied as provided for regular employees. If
your employment agreement is renewed, a salary increase may be considered, consistent with
that provided for regular employees in similarly-situated job classes and employment
categories.
 You shall have the required mandatory deductions via payroll deduction, e.g., Maryland and
Federal Income Tax withholding, and Federal Insurance Contributions Act (FICA), which
includes Social Security and Medicare.
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Acceptance:
My signature indicates that I have read and understand the conditions of employment for an
hourly faculty contract appointment.
Employee Name (printed or typed)
Employee Signature
Date
Department/Unit
Appointing Authority
Date
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CONTINGENT EMPLOYMENT AGREEMENT FOR
HOURLY FACULTY EMPLOYEES
University of Maryland, College Park
Position Description
The duties for this contract position include the following:
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